Sangwa Yves, Ndaruhutse Victor, Radeny Samson, Ndatimana Dieudonne, Niragire François, Rutayisire Erigene, Mukamana Beatrice, Uwamariya Josee, Kabanda Clovis, Nyirafaranga Angelique, Uzayisenga Marie Chantal, Kanakuze Chris Adrien, Gasamagera Jean Claude, Umunyana Jacqueline, Mazimpaka Christian
IntraHealth International Kigali Rwanda.
Department of Applied Statistics University of Rwanda Kigali Rwanda.
Public Health Chall. 2024 Apr 28;3(2):e174. doi: 10.1002/puh2.174. eCollection 2024 Jun.
In Rwanda, community health workers (CHWs) serve a crucial function in providing community-based maternal and neonatal health (CBMNH) services. However, limited access to continuous training affects their confidence and ability to execute their roles effectively. This study aimed at evaluating the impact of eLearning on enhancing and maintaining CHWs' knowledge of CBMNH.
This cohort study, conducted from April to October 2021 in two Rwandan districts, evaluated knowledge acquisition and retention among 36 CHWs participating in an eLearning course. Knowledge scores were measured using a structured questionnaire administered pre-training, post-training and at a 6-month follow-up. Descriptive analysis and paired -tests were used to assess mean score differences.
There was improvement in CHWs' performance scores following eLearning training, with an average increase from 86.5% to 98.2%. The improvement was sustained at a 6-month follow-up. Statistical significance was found between age category and CHWs' pre- and post-test performance ( = 0.01, = 0.04 respectively), and between years of experience and pre-test scores ( = 0.02).
The results of this study suggest that eLearning is an effective method for enhancing and retaining CHWs' knowledge of CBMNH. The findings support the use of eLearning as a valuable strategy for strengthening the capacity of CHWs in Rwanda and other countries with similar contexts.
在卢旺达，社区卫生工作者在提供基于社区的孕产妇和新生儿健康（CBMNH）服务方面发挥着关键作用。然而，获得持续培训的机会有限影响了他们有效履行职责的信心和能力。本研究旨在评估电子学习对增强和维持社区卫生工作者CBMNH知识的影响。
这项队列研究于2021年4月至10月在卢旺达的两个地区进行，评估了36名参加电子学习课程的社区卫生工作者的知识获取和保留情况。知识得分通过在培训前、培训后和6个月随访时使用结构化问卷进行测量。描述性分析和配对检验用于评估平均得分差异。
电子学习培训后，社区卫生工作者的绩效得分有所提高，平均从86.5%提高到98.2%。在6个月的随访中，这种提高得以持续。发现年龄类别与社区卫生工作者培训前和培训后的表现之间存在统计学显著性（分别为=0.01，=0.04），以及工作经验年限与培训前得分之间存在统计学显著性（=0.02）。
本研究结果表明，电子学习是增强和保留社区卫生工作者CBMNH知识的有效方法。这些发现支持将电子学习作为加强卢旺达和其他具有类似背景国家社区卫生工作者能力的宝贵策略。
